Rectal prolapse physical examination

	Rectal prolapse Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]

Overview

Patients with rectal prolapse usually have rectal mass or bulge in physical examination.

Physical Examination

Rectal prolapse can be diagnosed in outpatient clinics by history taking and inspection of the protruded rectum.^[1] Anal inspection may reveal normal anal area, skin excoriation or irritation and the patulous anus and prolapsed rectum can become visible in a sitting position.

Appearance of the Patient:

Patients with inguinal hernia usually appear good

Vital Signs:

Normal vital signs

Skin:

Skin examination: Normal.

HEENT:

HEENT examination: Normal

Lungs:

Pulmonary examination: Normal

Heart:

Cardiovascular examination: Normal

Abdomen:

Abdominal examination: Normal.

Pelvic:

The following findings may be found on pelvic examination of a patient with rectal prolapse:^[2]^[3]

Large rectal mass or bulge that may or may not spontaneously reduce at the completion of a bowel movement or straining
Skin excoriation or irritation of anus
Patulous anus
Prolapsed rectum

Genitourinary:

Genitourinary examination of patients with [disease name] is usually normal

References

↑ Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.
↑ Patcharatrakul T, Rao S (2017). "Update on the Pathophysiology and Management of Anorectal Disorders". Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)
↑ Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). "Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies". J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.

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[pmid21431090-1] Shin EJ (2011). "Surgical treatment of rectal prolapse". J Korean Soc Coloproctol. 27 (1): 5–12. doi:10.3393/jksc.2011.27.1.5. PMC 3053504. PMID 21431090.

[pmid29050194-2] Patcharatrakul T, Rao S (2017). "Update on the Pathophysiology and Management of Anorectal Disorders". Gut Liver. doi:10.5009/gnl17172. PMID 29050194. Vancouver style error: initials (help)

[pmid24352613-3] Bordeianou L, Hicks CW, Kaiser AM, Alavi K, Sudan R, Wise PE (2014). "Rectal prolapse: an overview of clinical features, diagnosis, and patient-specific management strategies". J. Gastrointest. Surg. 18 (5): 1059–69. doi:10.1007/s11605-013-2427-7. PMID 24352613.

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